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Showing results for "reporting".

  1. Anesthesia Patient Safety Podcast. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast
    September 04, 2024 - Audiovisual Anesthesia Patient Safety Podcast. Citation Text: Anesthesia Patient Safety Podcast. Anesthesia Patient Safety Foundation. 2020-2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Li…

  2. Coding for Success: Simple Technology for Safer Patient Care. | PSNet

    psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
    July 01, 2020 - Book/Report Coding for Success: Simple Technology for Safer Patient Care. Citation Text: Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007. Copy Citation Save Sav…

  3. Implementing a bar-code medication administration system. | PSNet

    psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
    May 11, 2014 - Commentary Implementing a bar-code medication administration system. Citation Text: Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016-1022. doi:10.1310/hpj4312-1016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  4. The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/first-annual-healthgrades-pediatric-patient-safety-american-hospitals-study
    September 12, 2012 - Book/Report The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. Citation Text: The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. Reed K, May R. Golden, CO: Health Grades, Inc; 2010. Copy Citation Save …

  5. Fluorouracil error ends tragically, but application of lessons learned will save lives. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
    June 10, 2018 - Newspaper/Magazine Article Fluorouracil error ends tragically, but application of lessons learned will save lives. Citation Text: Fluorouracil error ends tragically, but application of lessons learned will save lives. ISMP Medication Safety Alert! Acute care edition. September 20, 2007. …

  6. Sentinel Event Alert. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert
    May 30, 2012 - Newsletter/Journal Sentinel Event Alert. Citation Text: Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  7. Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. | PSNet

    psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
    May 05, 2018 - Newspaper/Magazine Article Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. Citation Text: Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. ISMP Medication Safety Alert! Acute Care Edition. Au…

  8. Health Policy Brief: Improving Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/health-policy-brief-improving-quality-and-safety
    January 27, 2012 - Book/Report Health Policy Brief: Improving Quality and Safety. Citation Text: Health Policy Brief: Improving Quality and Safety. Bethesda, MD: Health Affairs. April 15, 2011:1-7.   Copy Citation Save Save to your library Print Download PDF …

  9. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
    April 17, 2017 - Newspaper/Magazine Article Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. Citation Text: Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.   Grissinger M, Dabliz R. Pa Patient S…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40056/psn-pdf
    November 21, 2016 - Bringing change-of-shift report to the bedside: a patient- and family-centered approach. November 21, 2016 Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8a6c8. https://psnet.ahrq.gov/issue/…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36922/psn-pdf
    June 22, 2015 - Fluorouracil Incident Root Cause Analysis Report. June 22, 2015 Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report This report shares findings from a root cause analysis of a medication error incident that led to a pat…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36704/psn-pdf
    March 28, 2011 - Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. March 28, 2011 Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6. https://psnet.ahrq.gov/issue/stopping-error-cascade-rep…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867769/psn-pdf
    March 12, 2025 - Lessons from Event Reports. March 12, 2025 Lessons from Event Reports. Patient Safety Authority. https://psnet.ahrq.gov/issue/lessons-event-reports Small successes can inform and motivate actions leading to sustainable, evidence-based change. This searchable collection of projects initiated in response to event re…

  14. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet

    psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
    September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

  15. Drug related admissions to a cardiology department; frequency and avoidability. | PSNet

    psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability
    August 20, 2018 - Study Drug related admissions to a cardiology department; frequency and avoidability. Citation Text: Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. Copy Citation Format: …

  16. Patient-reported missed nursing care correlated with adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
    September 27, 2017 - Study Patient-reported missed nursing care correlated with adverse events. Citation Text: Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. Copy Citation Format: …

  17. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic
    October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

  18. A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
    November 17, 2021 - Study A review of adverse event reports from emergency departments in the Veterans Health Administration. Citation Text: Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…

  19. Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. | PSNet

    psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
    December 31, 2014 - Study Classic Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Citation Text: Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47199/psn-pdf
    October 03, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. October 3, 2018 Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to a national database of serious incidents. Palliat Med. 2018;32(8):1353-1362…
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